| Updating the chest pain algorithm: incorporating new evidence. | |
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MedLine Citation:
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PMID: 19050417 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In 2003, we published our chest pain protocol for the management of acute coronary syndromes (ACSs) and acute myocardial infarction. Our algorithm was specifically designed for our institution, which was primary percutaneous coronary intervention (PCI) for all ST-elevation myocardial infarctions (STEMIs) and a preferred invasive approach for non-STEMIs. Since 2003, there have been numerous changes in the adjunctive pharmacotherapeutic armamentarium for PCI in both the STEMI and non-STEMI ACS context. We present our updated chest pain algorithm with a brief review of the rapidly evolving changes in adjunctive pharmacotherapy for PCI and provide a rationale for the changes that we have made to our institutional protocol. Clinical pathways need to be consistently updated and revises by incorporating new evidence from clinical trials in order to maintain clinical relevance. |
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Authors:
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Neil Goyal; Jennifer Stant; Francesca Esposito; Gina Piri; Michael Collins; Osman Sayan; Gerald Neuberg; Leslie Miller; Jeffery W Moses; Gregg W Stone; James Giglio; LeRoy E Rabbani |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Critical pathways in cardiology Volume: 7 ISSN: 1535-2811 ISO Abbreviation: Crit Pathw Cardiol Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-12-03 Completed Date: 2009-01-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101165286 Medline TA: Crit Pathw Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 211-22 Citation Subset: IM |
Affiliation:
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Center for Interventional Vascular Therapy, Columbia University Medical Center, New York, NY 10032, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Coronary Syndrome
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diagnosis,
mortality,
therapy Algorithms* Angina, Unstable / diagnosis, mortality, therapy Chest Pain / diagnosis, mortality, therapy* Combined Modality Therapy Critical Pathways / standards, trends* Evidence-Based Medicine Female Forecasting Humans Male Myocardial Infarction / diagnosis, mortality, therapy Myocardial Revascularization / methods* Prognosis Randomized Controlled Trials as Topic Risk Assessment Survival Analysis Thrombolytic Therapy / methods* Treatment Outcome United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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